NPI | 1598151110 |
---|---|
Former Name | MEGAN A PRILUTSIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD472207) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10256000) |
208000000X Pediatrics (Licence: DE C7-0005915) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-03-03 |